| NPI | 1285429571 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | GAURAV MATHUR CEO 321-621-0478 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207R00000X Internal Medicine |
| Additional Taxonomies | 207RA0401X Internal Medicine, Addiction Medicine |
| Enumeration Date | 2025-04-09 |
| Last Update Date | 2025-04-09 |